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Does It Have to Be Pulled? Everything You Need to Know About Root Canal Treatment

23 June 2026·3 min read

**What Is Root Canal Treatment and Why Might You Need It?** When the soft tissue inside your tooth — called the pulp — becomes infected or inflamed due to deep decay, a crack or injury, you may experience pain, swelling and sensitivity. Root canal treatment (also called endodontic treatment) removes this damaged tissue, clears the infection and seals the tooth so it can stay in your mouth rather than being extracted. For most patients, saving the natural tooth is the preferred long-term outcome.

**"You Need It Out" — Is That Always True?** It is not uncommon for patients to arrive at Miva Dental having been told by another provider that a tooth must be extracted, only to find that root canal treatment offers a viable alternative. Patients travelling from the Gulf region, Istanbul and across Europe have shared how surprised and relieved they felt when a tooth they expected to lose was saved. That said, every case is different, and a thorough clinical assessment — including up-to-date X-rays — is essential before any conclusion is reached.

**Step-by-Step: What Happens During Treatment?** The dentist first takes a digital X-ray or, where needed, a 3D CBCT scan to map the root structure and assess the extent of infection. Under local anaesthetic, the pulp chamber is accessed, infected tissue is carefully removed with fine instruments, and the canals are cleaned, shaped and filled with a biocompatible material. Many cases are completed in a single appointment; more complex tooth anatomy may require two visits. A crown is usually recommended afterwards to protect the treated tooth.

**Will It Hurt?** This is the question almost every patient asks. With modern local anaesthesia, the procedure itself is rarely painful — most patients compare it to having a filling done. Some mild tenderness or sensitivity in the days following treatment is normal and is generally manageable with over-the-counter pain relief. At Miva Dental, Dr. Murat Atakan Acar takes time before each procedure to walk patients through every step, making the experience as comfortable as possible.

**What Happens If You Leave It Untreated?** An infected tooth does not heal on its own. Left untreated, the infection can spread to the jawbone, neighbouring teeth and, in rare cases, beyond. Early intervention improves the chance of saving the tooth and prevents more complex treatment down the line. Even if the pain seems to have settled, it is worth getting a proper assessment rather than waiting.

**Why Is a Crown Usually Recommended Afterwards?** Once the pulp is removed, the tooth no longer receives the same internal nourishment and can become more brittle over time. A zirconia or porcelain crown placed over the treated tooth protects it from the forces of biting and chewing, supporting its longevity. Whether a crown is necessary and which material suits your case best is something your dentist will advise on based on the clinical findings.

**Complex and Multi-Canal Cases** Back teeth (molars and premolars) often have three or four canals and more curved anatomy than front teeth. A CBCT scan allows the treating dentist to visualise the full canal system and identify any additional or curved canals that could otherwise be missed. Experience and the right imaging technology make a meaningful difference to treatment outcomes in these cases.

**Planning Root Canal Treatment from Abroad** Patients from the UK, Germany, the Gulf and beyond increasingly choose Miva Dental for root canal treatment — whether to save a tooth that has been marked for extraction at home, or simply to avoid long waiting times. Our clinic is 25 minutes from İzmir Airport. In many cases, a preliminary assessment can begin before you travel by sharing your existing X-rays via WhatsApp (+90 544 642 64 82). Treatment plan, estimated number of appointments and personalised cost information are confirmed after your in-clinic examination.

**What to Expect at Miva Dental** Located at Maliyeciler, İhsan Alyanak Blv No:73/B, Karabağlar, İzmir, the clinic is equipped with digital X-ray and 3D tomography for precise diagnosis, and uses single-use sterile instruments throughout. Our team's clear, step-by-step communication style means most patients leave saying the experience was far easier than they had anticipated. If you have questions or would like to share your X-rays for a preliminary opinion, you are welcome to reach us on WhatsApp at any time.

Frequently Asked Questions

Is root canal treatment painful?

With modern local anaesthesia, pain during the procedure is very uncommon. Most patients say it feels similar to having a filling. Some mild soreness for a few days afterwards is normal and usually manageable with standard pain relief.

Can a tooth that needs extracting be saved with root canal treatment?

Sometimes, yes. A recommendation for extraction is not always final. An up-to-date X-ray and clinical examination may show that root canal treatment is a viable option. A detailed assessment is needed before any conclusion can be drawn.

How many appointments does root canal treatment take?

Many cases can be completed in a single visit. Teeth with multiple or curved canals may require two appointments. Your dentist will outline a personalised treatment plan after the initial examination.

Why is a crown needed after root canal treatment?

A tooth that has had its pulp removed can become more brittle over time. A crown protects it from biting forces and supports long-term function. Whether a crown is necessary depends on your specific clinical situation.

How much does root canal treatment cost at Miva Dental?

The cost varies depending on the tooth, the number of canals and the imaging required. Personalised pricing is provided after your examination. You are welcome to contact us on WhatsApp (+90 544 642 64 82) for preliminary information.

I'm travelling from abroad — can I get a preliminary assessment before I fly?

Yes. If you share your existing X-rays via WhatsApp, our dentists can carry out a preliminary review to help you plan your trip. The definitive treatment plan is confirmed at your in-clinic examination.

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